Organization Active NPI

Plattsmouth Hometown Health, LLC

  • Family Nurse Practitioner
  • Plattsmouth, NE
National Provider Identifier
1144805771
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PLATTSMOUTH HOMETOWN HEALTH, LLC
Practice address
306 N 7TH St
Plattsmouth, NE 68048-1310
Phone
(402) 298-5775
Fax
(402) 500-3342
NPI assigned
Mar 15, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Erin Gayle Smith, FNP-CNPI 1558955740
Title
Aprn
Phone
(402) 541-5131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

306 N 7TH St
Plattsmouth, NE 68048-1310

Mailing address

306 N 7TH St
Plattsmouth, NE 68048-1310
Phone (402) 298-5775

Other names 1

  • Plattsmouth Hometown Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414000690 NE Part B Supplier - Clinic/Group Practice 2062820970 Receives reassigned benefits from 1 practitioner
Practice locations: Plattsmouth, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2230296Plattsmouth Hometown Health, LLC306 North 7TH Street, Plattsmouth, NE 68048Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1144805771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N 7TH ST",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680481310",
            "telephone_number": "402-298-5775",
            "fax_number": "402-500-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N 7TH ST",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680481310",
            "telephone_number": "402-298-5775",
            "fax_number": "402-500-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTSMOUTH HOMETOWN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "402-541-5131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattsmouth Hometown Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plattsmouth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.